Revision rhinoplasty for a pinched tip

Many of my Houston revision rhinoplasty patients have had over-resected cartilage in the tip of their nose or grafts placed to create an overpinched tip which can look operated and "nose jobby".  This is especially true for patients with very thin skin.  It is important to delicately lift the skin of the tip cartilages in these patients and use caritilage or…